Purpose: We report the rare occurrence of unilateral acute hypertensive uveitis in the acute phase of systemic leptospirosis.
Methods: Observational case report and review of literature.
Results: A young male mason from coastal Karnataka in south India, presenting with acute febrile illness, was diagnosed to have systemic leptospirosis. He also had features of sudden raised intraocular pressure with anterior uveitis in one eye, which subsided with medical management.
Conclusion: Leptospirosis should be considered as a differential in the diagnosis of acute hypertensive uveitis.
Keywords: Anterior uveitis; India; glaucoma; leptospirosis.